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Biomedical subjects

J M Powers

Publications and source records attributed to J M Powers.

At least 19 recordsLinked to original sources

Risk factors for dopaminergic neuron loss in human alpha-synuclein transgenic mice.

Genetic background, pesticide exposure, age, gender, diet and lifestyle are implicated risk factors in Parkinson's disease. We demonstrate dopamine neuron loss and other features of Parkinsonism based on the interaction of several of these human risk factors in transgenic mice expressing human alpha-synuclein. Mice expressing different forms of human alpha-synuclein had progressive declines in locomotor activity and abnormal responses to apomorphine that were modified by transgenic status. Stereological counts of tyrosine hydroxylase-positive neurons significantly declined with age only in the transgenic lines, consistent with a constant or decreasing risk, with the line expressing a double-mutant form of human alpha-synuclein more severely affected than the line expressing wild-type human alpha-synuclein. Treatment with Mn2+-ethylenebisdithiocarbamate and paraquat resulted in significantly greater effects in the double-mutant line than the other lines. Inclusions were not identified in the transgenic lines. Overexpression of human alpha-synuclein had adverse effects on substantia nigra pars compacta dopaminergic neurons that were modified by risk factors interacting in humans, including human alpha-synuclein mutations, ageing, and exposure to pesticides.

Animals↗

Efficacy of conventional and experimental techniques for denture repair.

This study investigated the efficacy of one experimental and three conventional techniques for denture repair. Forty maxillary dentures were constructed in dental stone casts duplicated from an edentulous copper-aluminium maxillary master cast. Two groups of 20 dentures each were prepared with Lucitone 199 (water-bath, 8 h/74 degrees C) or Acron MC (microwave, 3 min/500 W) denture base materials processed in gypsum moulds. The 40 dentures were all separated sagittally in the middle. After that, five dentures of each denture base material were repaired with one of the four following techniques: L (Lucitone 199, water-bath, 8 h/74 degrees C, gypsum mould), A (Acron MC, microwave, 3 min/500 W, gypsum mould), AR (Acron MC/R, autopolymerized, 60 psi/45 degrees C/15 min) and the experimental technique AS (Acron MC, 1 min/500 W + 1 min/0 W + 1 min/500 W, hard silicone mould). The parameters denture accuracy (DA), horizontal (HC) and vertical changes (VC) of the occlusal plane measured the efficacy of the repair techniques. The DA was determined by weighing a film of silicone impression material set in contact to the tissue surface of the denture seated on the metallic master die. For HC, cross-arch measurements were made among reference marks drilled on the teeth 11, 21, 16 and 26. The VC was obtained by calculating the relative differences in height between similar teeth of each semi-arch (pairs 13-23, 14-24, 15-25 e 16-26). For DA, HC and VC, the percentage differences between the percentage means obtained before and after repair were calculated and grouped for comparisons. Analysis of variance (SuperANOVA) and means compared by Tukey-Kramer intervals (0.05) revealed that AR repair had the best percentage difference value for DA [0.5% (P < 0.05)], while the others were not statistically different [L = 27.2%, A = 28.9%, AS = 21.2% (P > 0.05)]. For HC, there was a statistical difference (P < 0.05) between AR and the other techniques for the tooth pairs, 16-26, 11-26 and 21-16; repairs with AR and AS differed for the 11-21 pair, while those with A and AS techniques differed for the 16-26 pair (P < 0.05). The VC differences were not detected between repair methods (P > 0.05). Denture accuracy was not affected by the interaction of base material-repair technique; repair with AR technique gave the best adaptation; the interaction of base material-repair technique did not affect HC; HC was affected by the repair technique.

Acrylic Resins↗

Calculation of colour resulting from composite/compomer layering techniques.

This study determined the influence of optical properties of constituent layers on the colour of double-layer aesthetic filling materials. Multiple regression equations for the Commission Internationale de I'Eclairage (CIE) L*, a* and b* of layered materials were calculated from the optical values of the covering and underlying layers. Specimens (10 mm diameter, 1 mm thickness) of two light-cured resin composites and one compomer of seven to 11 shades were used. CIE L*, a* and b* values of each specimen were measured with a colour spectrophotometer backed by a standard white background. The scattering coefficient (S), absorption coefficient (K), contrast ratio (C) and translucency parameter (T) were calculated. Double-layered specimens were formed in optical contact by joining two different shades from the same material, or resin composite as covering with a compomer underlying layer. Each of the L*, a* and b* of layered material was used as a dependent variable, and 14 optical values of underlying and covering layers were used as independent variables in forward regression analysis (P = 0.01). CIE L* after layering had a positive correlation with S of covering layer (correlation coefficient; beta = 0.79-0.91, P < 0.01) and a correlation with L* of underlying layer (beta = 0.14-0.16). CIE a* after layering had a correlation with a* of covering layer (beta = 0.83-0.94) and a correlation with a* of underlying layer (beta = 0.30-0.56). CIE b* after layering had a correlation with b* of covering layer (beta = 0.77-0.90) and a correlation with T of covering layer (beta = 0.40-0.59). The layered colour of these materials can be predicted by the derived regression equations within the limitations of this study. CIE L*, a* and b* values of double-layer material are mainly influenced by S, CIE a* and b* of covering layer, respectively.

Colorimetry↗

A novel leukoencephalopathy associated with tau deposits primarily in white matter glia.

A 79-year-old woman had a 10-year history of dementia, initially presenting as non-fluent aphasia. Magnetic resonance imaging showed frontal atrophy (left greater than right) and hyperintense foci within white matter. Neuropathologically, there was severe frontal atrophy due to cortical neuronal loss with spongy change and to an even greater loss of white matter that contained prominent eosinophilic deposits. The deposits were immunoreactive for phosphorylated tau, non-reactive for Abeta and alpha-synuclein and equivocally or weakly reactive for ubiquitin. They stained with the Gallyas, Bielschowsky, and Bodian techniques. Ultrastructural examination revealed the deposits to be composed of straight filaments with a diameter of approximately 10 nm, primarily in white matter glia. Moderate loss of neurons in substantia nigra and numerous argyrophilic threads in gray and particularly white matter were noted. The precise relationship between this disorder and other frontotemporal degenerations/tauopathies, as well as the pathogenetic basis of the leukoencephalopathy, remains to be determined.

Aged↗

Neuropathologic findings in a Guillain-Barré patient with strokes after IVIg therapy.

Strokes have been rarely associated with immunoglobulin G (IVIg) therapy. A 70-year-old woman with stable polycythemia vera developed Guillain-Barré syndrome and received IVIg, 8 days following which she became comatose due to bilaterally symmetric cerebral infarcts. Autopsy showed intravascular aggregates of fibrin-IgG but also platelets and a necrotizing microangiopathy in the infarcts.

Aged↗

Effects of colour measuring mode and light source on the colour of shade guides.

The objectives of this paper were to evaluate the effects of colour measuring modes [specular component excluded (SCE) versus specular component included (SCI)] and the standard light source (C, A or D65) on the colour of shade guides. After the labial part of shade tabs of two shade guides (Vita and Chromascop) was polished flat up to no. 2400 silicone carbide paper, the colour was measured according to the International Commission on Illumination (CIE)L*a*b* colour scale on a spectrophotometer. In both shade guides, all the average CIE L* values of each shade series, and most of CIE b* values were different depending on the measuring mode (P < 0.01). However, there was no difference in CIE a* values depending on the measuring mode. Colour difference (deltaE*) between the values measured with SCE mode and with SCI mode was 3.21-6.50 in Vita shade guide, 3.22-5.47 in Chromascop shade guide. DeltaE* caused by the difference in light source was very small in Vita shade guide regardless of the measuring mode. In the Vita shade guide, the shade series (A-D) was negatively correlated with CIE L* and CIE a* values measured with SCE mode. In the Chromascop shade guide, the shade series (100-500) was negatively correlated with CIE L* value measured with SCI mode.

Colorimetry↗

Differential scanning calorimetric studies of nickel titanium rotary endodontic instruments.

Differential scanning calorimetric (DSC) analyses were performed between -130 degrees and 100 degrees C on specimens prepared from nickel-titanium (NiTi) rotary endodontic instruments: ProFile (n = 5), Lightspeed (n = 4), and Quantec (n = 3). The ProFile and Lightspeed instruments were in the as-received condition, whereas the Quantec instruments were randomly selected from a dental clinic and had unknown history. The DSC plots showed that the ProFile and Lightspeed instruments analyzed had the superelastic NiTi property, with an austenite-finish (Af) temperature of approximately 25 degrees C. Differences in DSC plots for the ProFile instruments and the starting wire blanks (n = 2) were attributed to the manufacturing process. The phase transformation behavior when the specimens were heated and cooled between -130 degrees and 100 degrees C, the temperature ranges for the phase transformations, and the resulting enthalpy changes were similar to those previously reported for nickel-titanium orthodontic wires having superelastic characteristics or shape memory behavior in the oral environment. The experiments demonstrated that DSC is a powerful tool for materials characterization of these rotary instruments, providing direct information not readily available from other analytical techniques about the NiTi phases present, which are fundamentally responsible for their clinical behavior.

Calorimetry, Differential Scanning↗

Differential scanning calorimetric studies of nickel-titanium rotary endodontic instruments after simulated clinical use.

Differential scanning calorimetric (DSC) analyses have been performed between -130 degrees and 100 degrees C on single-segment specimens obtained from ProFile and Lightspeed nickel-titanium rotary endodontic instruments in the as-received condition and after one, three, and six periods of simulated clinical use in extracted teeth. The DSC analyses showed that both brands of instruments were always in the superelastic condition, although the enthalpy values for the transformation from martensitic NiTi to austenitic NiTi were much smaller for the Lightspeed instruments. Simulated clinical use had no evident effect upon this transformation for both brands, which is attributed to insufficient mechanical deformation of the instruments. There were substantial differences in the enthalpy change associated with the transformation from martensitic NiTi to austenitic NiTi for test segments from different positions along the shafts of the instruments and for as-received instruments from two different batches that were analyzed in this study and a previous study. These differences are attributed to variations in work hardening along the shaft during instrument fabrication and to processing differences during production of the two batches of each instrument brand.

Calorimetry, Differential Scanning↗

Color characteristics of low-chroma and high-translucence dental resin composites by different measuring modes.

The objective of the described research was the evaluation of the effects of the differences in the color-measuring geometry (SCE, SCI) and the standard illuminant on the color and color change after polymerization and thermocycling of resin composites. White, translucent, and conventional shades of two brands of resin composites were measured before and after polymerization and after thermocycling according to the CIE L*a*b* color scale on a reflection spectrophotometer with SCE and SCI geometry under the standard illuminants A, D65, and C. Under both SCE and SCI modes, the color differences (DeltaE*) of specimens between the values measured under illuminants A and D65 or A and C were larger than those between D65 and C in unpolymerized, polymerized, and thermocycled conditions. With SCE geometry, DeltaE* after polymerization of the white shade group was 8.7-9.8 under D65, and was higher than the conventional shade group (p < 0.05) in both materials. With SCE geometry, DeltaE* between polymerized and thermocycled white, translucent shade was 4.4-7.1 under D65. With SCI geometry, the results were in general agreement with those of SCE mode. After polymerization, DeltaE* measured under illuminant A was generally higher than that under D65 or C (p < 0.01). After thermocycling, the color change was different depending on the color-measuring geometry and standard illuminant.

Barium↗

Torsional properties of commercial nickel-titanium wires during activation and deactivation.

This study evaluated torsional moments on activation and deactivation in commercial, nickel-titanium wires that are intended for use in the initial phases of orthodontic treatment. Nine commercial, rectangular nickel-titanium wires (0.017 x 0.025 in) were tested in torsion. One wire was conventional nickel-titanium, and the others were superelastic nickel-titanium wires. The specimens were tested in a torsiometer for rotations between 10 and 40 degrees in activation and deactivation. Wires E27, RF and R had the highest moments during activation and deactivation, without evidence of the plateau typical of the superelastic effect. Plateaus of constant moment were observed for wires C27, C35, E35, MO, NS, and NI. Torsional moments varied among superelastic nickel-titanium wires, even with wires that had the same transition temperature range. Some superelastic wires had torsional moments that were comparable with conventional nickel-titanium wires.

Dental Alloys↗

Force-deflection properties of superelastic nickel-titanium archwires.

This in vitro study compared the force-deflection behavior of 8 superelastic nickel-titanium orthodontic wires (0.017 x 0.025 in) under controlled moment and temperature. To simulate leveling a lateral incisor, brackets and first molar tubes without tip and angulation were used. The wires (n = 5) were ligated into stainless steel brackets attached to a plastic jig to simulate a mandibular arch. A testing machine (Instron) applied deflections of 0.2 to 2.0 mm at 35 degrees C in the lateral incisor area. Force-deflection diagrams were determined from the passive position to an activation of 2 mm and then during deactivation. Forces on deactivation at a deflection of 1 mm were compared by analysis of variance. Significant differences (P < .05) in forces were observed among wires. All wires exhibited superelastic behavior, but in stratified loading levels.

Analysis of Variance↗

Potential environmental and host participants in the early white matter lesion of adreno-leukodystrophy: morphologic evidence for CD8 cytotoxic T cells, cytolysis of oligodendrocytes, and CD1-mediated lipid antigen presentation.

The 2 most common forms of X-linked adreno-leukodystrophy (ALD) are the juvenile or childhood cerebral form with inflammatory demyelination and the adult adrenomyeloneuropathy (AMN) involving spinal cord tracts without significant inflammation. Modifier genes or environmental factors may contribute to the phenotypic variability. We performed immunohistochemical, an in situ polymerase chain reaction, and TUNEL analyses to identify several viruses, lymphocyte subpopulations, apoptotic cells, and effector molecules, focusing on morphologically normal white matter, dysmyelinative and acute demyelinative lesions. No distinguishing viral antigens were detected. Most lymphocytes were CD8 cytotoxic T cells (CTLs) with the alpha/beta TCR, and they infiltrated morphologically unaffected white matter. Only a few oligodendrocytes were immunoreactive for caspase-3. MHC class II- and TGF-beta-positive microglia were present. CD44, which can mediate MHC-unrestricted target cell death, was seen on many lymphocytes and white matter elements. CD1 molecules, which play major roles in MHC-unrestricted lipid antigen presentation, were noted. Our data indicate that unconventional CD8 CTLs are operative in the early stages of dysmyelination/demyelination and that cytolysis of oligodendrocytes, rather than apoptosis, appears to be the major mode of oligodendrocytic death. The presentation of lipid antigens may be a key pathogenetic element in ALD and AMN-ALD.

Adrenoleukodystrophy↗

The dorsal root ganglia in adrenomyeloneuropathy: neuronal atrophy and abnormal mitochondria.

Adrenomyeloneuropathy (AMN), a disease of spinal cord, brain, adrenal, and testis, mostly affects men with spastic paraparesis or ataxia beginning in their second or third decade. The spinal cord displays bilateral, usually symmetrical, long tract degeneration particularly of the gracile tract in a "dying-back" pattern. The available data strongly indicate that the fundamental lesion in AMN is an axonopathy or neuronopathy. We compared lumbar dorsal root ganglia (DRG) from 3 AMN patients to 6 age-matched controls histologically, morphometrically, immunohistochemically, and ultrastructurally. There was no apparent neuronal loss, necrosis or apoptosis, nor obvious atrophy; nodules of Nageotte were sparse in both groups. The morphometric studies, however, did reveal neuronal atrophy with a decrease in the number of large neurons and a corresponding increase in neurons less than 2,000 microm2, especially in the 1,500-1,999 microm2 range. No consistent immunohistochemical differences were observed, and no specific cell type appeared to be lost. Many mitochondria in the AMN neurons demonstrated lipidic inclusions; this raises the possibility that, in addition to the well-known peroxisomal defect, impaired mitochondrial function may lead to a failure of ATP-dependent axoplasmic transport in AMN spinal tracts with consequent "dying-back" axonal degeneration. The observation that the DRG parent neurons of the degenerate gracile tracts in AMN undergo atrophy and do not display appreciable evidence of cell death, even at autopsy, provides a wide window of opportunity for the development of therapeutic strategies to combat or prevent this myeloneuropathy.

Adrenoleukodystrophy↗

Wear resistance of cryogenically treated stainless steel files.

Cryogenic treatment, which involves ultra-sub-zero treatment of metal alloys, has been shown to improve the wear resistance of several types of stainless steel. The purpose of this study was to examine the effect of cryogenic treatment on wear resistance of Flex-R and Hedstrom (Union Broach) files. These instruments were attached to an Instron testing machine and underwent 300 push-pull strokes (6-mm movement range, 600-mm/min speed, 1-N loading) against 1.5-mm thick dentin wafers. Their wear was determined by comparing the depth of grooves (without changing file position) cut in acrylic specimens (1.5-mm thick) before and after machining dentin. The mean and standard deviation (n = 20) of the relative change in cutting efficiency was determined for the files. An analysis of variance showed that the cutting efficiency of all files decreased significantly after wearing on dentin (p < 0.0001). However, when comparing the post-/pre-cutting efficiency ratios of the files, it was seen that cryogenic treatment did not affect the wear resistance of the files.

Acrylic Resins↗

Color stability of provisional restorative materials after accelerated aging.

PURPOSE: Color of 11 provisional restorative materials (4 acrylic resins and 7 resin composites) was evaluated by reflection spectrophotometry immediately after fabrication, after aging for 15 kJ/m(2), and after aging for 60 kJ/m(2) to determine relative color stability under experimental aging conditions. MATERIALS AND METHODS: Specimens of provisional restorative materials were polymerized according to manufacturers' instructions and aged in an artificial aging chamber with exposure to a total ultraviolet irradiation of 60 kJ/m(2) in increments of 15 kJ/m(2). Color was measured by CIE L*a*b* on a reflection spectrophotometer before and after aging. Color change (Delta E*) was calculated and analyzed statistically by analysis of variance with repeated measures after 15 and 60 kJ/m(2) intervals of aging. RESULTS: Statistically significant changes in color were observed after accelerated aging at both the initial and final aging intervals. Five of the 11 provisional materials tested showed perceptible color change (Delta E* from 3.6 to 9.3) after accelerated aging of 15 kJ/m(2). Seven of the 11 provisional materials tested showed perceptible color change (Delta E* from 3.4 to 9.4) after accelerated aging of 60 kJ/m(2). CONCLUSIONS: Clinically perceptible color changes (Delta E* Delta 3.3) can be expected in some acrylic resin and composite resin provisional materials after accelerated aging.

Acrylic Resins↗

Comparison of color of resin composites of white and translucent shades with two shade guides.

PURPOSE: The purpose of this study was to compare the color of resin composites of white, translucent, and conventional shades with shade guides, based on the analysis of the color distribution of shade guides. The influence of color measuring mode, specular component included (SCI) or excluded (SCE), was also determined. MATERIALS AND METHODS: The labial portions of shade guide tabs (Vita and Chromascop) were polished flat with up to 2400-grit SiC paper. Color coordinates were measured according to CIE L*a*b* color scale on a reflection spectrophotometer with both the SCE and SCI modes. The color coordinates of white, translucent, and conventional shades of two brands of resin composites were measured and compared with those of the shade guides. RESULTS: There was no logical order in the color distribution of the two shade guides. The color of white and translucent shades of resin composites was located on the low CIE a* and CIE b* value area. The CIE L*, a*, b* values of resin composite with the same color designations were different, depending on the brand of material. The color difference (deltaE*) of shade guides by the measuring mode (SCE vs. SCI) was between 3.2 and 6.5.

Color↗

Dental color standards: shade tab arrangement.

PURPOSE: The aim of this study was to analyze the shade tab arrangement of two popular dental shade guides, suggest possible improvements, and propose clinical guidelines. MATERIALS AND METHODS: Data were recorded using a colorimeter set to standard illuminant source C and CIE L*a*b* system. The manufacturers' shade tab arrangement as well as the possible improvements in the arrangement of shade tabs of Vitapan Classical and Vitapan 3-D Master (Vita Zahnfabrik, Bad Säckingen, Germany) shade guides were examined by regression analysis. RESULTS: Certain shortcomings in the manufacturers' arrangement of both color standards were observed. The Vitapan 3-D Master arrangement was more consistent, but with a decrease in lightness, tab saturation decreased as well in four of its five groups. When Vitapan Classical and Vitapan 3-D Master tabs were arranged according to deltaE* in relation to the lightest tab, r2 was 0.98 and 0.96, respectively. After dividing the total deltaE* range into four equal segments for the newly established Vitapan Classical guide, r2 was 0.91, 0.95, 0.68, and 0.94, respectively. Corresponding r2 values for Vitapan 3-D Master were 0.96, 0.94, 0.90, 0.94, and 1.0. CLINICAL SIGNIFICANCE: Total color difference in relation to the lightest tab, followed by the tab division into an adequate number of groups, is recommended as a possible and universally applicable mode of tab arrangement in dental color standards.

Calibration↗

Tensile bond strengths of fourth- and fifth-generation dentin adhesives with packable resin composites.

PURPOSE: Placement of packable composites would be simplified if a single-bottle dentin bonding agent, rather than the more complex, multiple-bottle dentin bonding agents, involving multiple steps, could be used successfully with adequate bond strength. This study was designed to compare the tensile bond strengths to extracted human dentin of four single-bottle (fifth-generation) and four multiple-bottle (fourth-generation) dentin bonding agents with four packable composites. MATERIALS AND METHODS: Packable composites (P60, 3M Dental Products Division; ALERT, Jeneric-Pentron; Pyramid Dentin, Bisco; and Clearfil AP-X, Kuraray America) were tested for in vitro tensile bond strength to human dentin with their single-bottle and their multiple-bottle dentin bonding agents. Bond strengths were measured using a truncated cone tensile test, with a bonding diameter of 3 mm, after storage of specimens in water at 37 degrees C and 100% relative humidity for 24 hours, and using a testing machine at a crosshead speed of 0.5 mm per minute. RESULTS: Means and standard deviations (n = 10) of tensile bond strengths (MPa) for the single-bottle system were P60, 21.3 MPa (6.7); ALERT, 26.6 MPa (4.2); Pyramid Dentin, 14.8 MPa (4.4); and Clearfil AP-X, 18.6 MPa (3.7). For the multiple-bottle system they were P60, 20.0 MPa (8.6); ALERT, 20.6 MPa (6.2); Pyramid Dentin, 16.0 MPa (3.4); and Clearfil AP-X, 17.8 MPa (6.0). Two-way analysis of variance showed significant differences among composites but no significant differences between single-bottle and multiple-bottle bonding agents. The Tukey-Kramer interval (p < .05) for comparisons of bond strengths among composites was 4.8 MPa. CONCLUSIONS: For single-bottle agents, bond strengths were ranked as ALERT > P60, P60 = Clearfil, P60 > Pyramid, and Clearfil = Pyramid. For multiple-bottle agents, there were no significant differences in bond strengths among the composites. CLINICAL SIGNIFICANCE: Single-bottle bonding agents provide similar in vitro bond strengths for use with packable composites as do the same manufacturers' multiple-bottle bonding agents.

Analysis of Variance↗